PHTLS/ ACLS Exam Questions with Solved
Solutions
Why are case studies important in the Hospital? - ANSWER>>It gives us evidence
based practice.
hemorrhage control should start right away in the trauma assessment -
ANSWER>>first thing to be done
CONTROL THE BLEED
What are the indications of needle decompression - ANSWER>>1. Increase WOB
2. Absent lung sounds
3. Inadequate perfusion
What is the easiest way to open the airway of a trauma patient? - ANSWER>>Jaw
thrust
problem with intubation - ANSWER>>requires a lot of practice
When you arrive on scene and find your patient with their airway full of blood,
how long should you suction for? - ANSWER>>Until the airway is complete clear
from blood.
what is the best way to confirm you have a good ET tube in place - ANSWER>>end
tidal **
When should you start the secondary assessment on a trauma patient? -
ANSWER>>when time and situation allows
,pre-arrival factors to consider upon arrival to your designated call -
ANSWER>>Time of day
Weather
Location
Hazards Involved
Possible additional needs
MC type of shock and what is the main cause of shock - ANSWER>>hemorrhagic
shock
due to internal or external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that
is best suited for this situation? - ANSWER>>scoop stretcher
first thing to be treated on a trauma patient? - ANSWER>>ABCDs
then other immediate life threats
earliest signs you may see in a pt starting to go into shock - ANSWER>>increased
ventilatory rate
two steps to stop the bleeding - ANSWER>>apply direct pressure
apply a TQ
What do you want your Blood Pressure to be at if you have a trauma patient? -
ANSWER>>systolic blood pressure of 80
What do you want your blood pressure to be for neurogenic patients? -
ANSWER>>systolic blood pressure of 90
, goal of PHTLS that needs to be established for our patients - ANSWER>>Restore
and maintain airway, ventilation, oxygenation, circulation, and quick transport
time for trauma patients.
Two of the most important prehospital maneuvers are those that provide and
maintain - ANSWER>>airway patency
pulmonary ventilation
Mechanical exchange of air between the outside environment and the alveoli of
the lungs. - ANSWER>>ventilation
Refers to the process by which oxygen concentration increases within a tissue. -
ANSWER>>oxygenation
These are critical steps in minimizing overall brain injury and improving the
likelihood of good outcomes. - ANSWER>>Ensure a patent airway / Maintaining
patients oxygenation / Supporting Ventilation
What two functions does the respiratory system serve? - ANSWER>>Provide
Oxygen to red blood cells / Remove Carbon Dioxide from the body
With each breath, how much air does the average adult approximately take in? -
ANSWER>>500 ml of air
The space in which the air is held that never actually makes it to the alveoli is
called what? - ANSWER>>dead space air
damage that occurs at the moment of impact - ANSWER>>primary injury
everything that happens because of the primary injury and how we manage that
injury - ANSWER>>secondary injury
cerebral vasodilation - ANSWER>>CO2
Solutions
Why are case studies important in the Hospital? - ANSWER>>It gives us evidence
based practice.
hemorrhage control should start right away in the trauma assessment -
ANSWER>>first thing to be done
CONTROL THE BLEED
What are the indications of needle decompression - ANSWER>>1. Increase WOB
2. Absent lung sounds
3. Inadequate perfusion
What is the easiest way to open the airway of a trauma patient? - ANSWER>>Jaw
thrust
problem with intubation - ANSWER>>requires a lot of practice
When you arrive on scene and find your patient with their airway full of blood,
how long should you suction for? - ANSWER>>Until the airway is complete clear
from blood.
what is the best way to confirm you have a good ET tube in place - ANSWER>>end
tidal **
When should you start the secondary assessment on a trauma patient? -
ANSWER>>when time and situation allows
,pre-arrival factors to consider upon arrival to your designated call -
ANSWER>>Time of day
Weather
Location
Hazards Involved
Possible additional needs
MC type of shock and what is the main cause of shock - ANSWER>>hemorrhagic
shock
due to internal or external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that
is best suited for this situation? - ANSWER>>scoop stretcher
first thing to be treated on a trauma patient? - ANSWER>>ABCDs
then other immediate life threats
earliest signs you may see in a pt starting to go into shock - ANSWER>>increased
ventilatory rate
two steps to stop the bleeding - ANSWER>>apply direct pressure
apply a TQ
What do you want your Blood Pressure to be at if you have a trauma patient? -
ANSWER>>systolic blood pressure of 80
What do you want your blood pressure to be for neurogenic patients? -
ANSWER>>systolic blood pressure of 90
, goal of PHTLS that needs to be established for our patients - ANSWER>>Restore
and maintain airway, ventilation, oxygenation, circulation, and quick transport
time for trauma patients.
Two of the most important prehospital maneuvers are those that provide and
maintain - ANSWER>>airway patency
pulmonary ventilation
Mechanical exchange of air between the outside environment and the alveoli of
the lungs. - ANSWER>>ventilation
Refers to the process by which oxygen concentration increases within a tissue. -
ANSWER>>oxygenation
These are critical steps in minimizing overall brain injury and improving the
likelihood of good outcomes. - ANSWER>>Ensure a patent airway / Maintaining
patients oxygenation / Supporting Ventilation
What two functions does the respiratory system serve? - ANSWER>>Provide
Oxygen to red blood cells / Remove Carbon Dioxide from the body
With each breath, how much air does the average adult approximately take in? -
ANSWER>>500 ml of air
The space in which the air is held that never actually makes it to the alveoli is
called what? - ANSWER>>dead space air
damage that occurs at the moment of impact - ANSWER>>primary injury
everything that happens because of the primary injury and how we manage that
injury - ANSWER>>secondary injury
cerebral vasodilation - ANSWER>>CO2
